• 제목/요약/키워드: nasal discharge

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Successful Combination Chemotherapy for Nasal Carcinoma in a Dog

  • Kim, Su-Gang;Cho, Seok-Ho;Kim, Keon;Park, Hee-Myung;Park, Sang-Ik;Kim, Tae-Jung;Lee, Chang-Min
    • 한국임상수의학회지
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    • 제36권5호
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    • pp.274-277
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    • 2019
  • A Miniature Schnauzer presented with bilateral mucopurulent nasal discharge and sneezing. Computed tomography of the skull revealed exudates in the nasal cavity and frontal gyrus. Nasal swab cytology showed features of an epithelial-origin tumor. Histopathologic evaluation of the biopsy specimen revealed irregular proliferation of epithelial cells and necrotized tissue. Positive immunohistochemical staining confirmed the epithelial origin of the cells. The dog was diagnosed with nasal carcinoma and was treated with a chemotherapy protocol of carboplatin and piroxicam. This report confirms the effectiveness of combination chemotherapy only without radiotherapy in a dog with nasal carcinoma and provides a guideline for providing alternative treatment.

한의약 치료로 호전된 만성부비동염으로 인한 후각장애 2례 (2 Cases of Olfactory Disorders due to Chronic Sinusitis treated with Korean Medical Treatment)

  • 강세현;박중군;강동원;김윤범;남혜정;김규석;김봉현
    • 한방안이비인후피부과학회지
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    • 제31권4호
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    • pp.96-107
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    • 2018
  • Objectives : The purpose of this study is to report the effect of Korean medicine on olfactory disorders due to chronic sinusitis. Methods : Two patients with chronic sinusitis complaining of olfactory disturbances, nasal obstruction, and purulent discharge were treated with herbal medicines and acupuncture treatment. The nasal endoscopic examination and paranasal sinuses x-ray series (PNS x-ray) were performed. In addition, numeral rating scale (NRS) of olfactory disturbances and degrees of nasal obstruction and purulent discharge were evaluated. Results : In cases 1 and 2, NRS of olfactory disturbances decreased from 9 to 1. Nasal obstruction and purulent discharge decreased to no symptoms or intermittent level at moderate or severe level. The endoscopic findings and PNS x-ray findings were improved after treatments. Among various treatments of Korean medicine, Gamitonggyu-tang may play a crucial role in the reduction of sinusitis and olfactory disorders. Conclusions : This case report can be used as a basis for the use of Korean medicine, Gamitonggyu-tang, for olfactory disorder due to chronic sinusitis.

개 비강에서 발생한 악성 흑색종의 영상 진단 증례 (Diagnostic imaging of nasal malignant melanoma in a dog)

  • 정주현;권정국;장진화;오선경;류미현;김대용;윤정희;최민철
    • 대한수의학회지
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    • 제48권3호
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    • pp.369-374
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    • 2008
  • A neutered male, 8-year-old, Pekingese, weighing 4.3 kg with a history of anorexia, sneezing, nasal discharge, and epistaxis for one month was referred. Soft tissue swelling around the nasal bone and small defects of the hard palate with a tiny round dark red mass were found on physical examination. The laboratory tests represented mild leukocytosis. On skull radiographs, soft tissue swelling and osteolytic change of the incisor bone, nasal bone, and maxilla were found. On computed tomography scan images, there was soft tissue attenuating opacity with calcified spots in the bilateral nasal cavities and frontal sinuses. Loss of nasal turbinate pattern and nasal septum was found. And destruction of the insicor bone, nasal bone, maxilla, hard palate, perpendicular palatine bone, and cribriform plate were identified. Nasal malignant melanoma was confirmed by nasal biopsy.

CT 진단 후 비절개술 및 방사선요법으로 치료한 개의 비강 선암의 발생례 (Computed Tomography-Aided Diagnosis of Nasal Adenocarcinoma Treated with Rhinotomy and Radiation Therapy in a Dog)

  • 홍성혁;김명철
    • 한국임상수의학회지
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    • 제19권2호
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    • pp.256-259
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    • 2002
  • A 39 kg, 7-year-old male Labrador Retriever dog with a 3-month history of epistaxis, sneezing, and nasal discharge was referred to the Veterinary Medical Center of the Tokyo University. On the plain X-ray and computed tomography (CT) of the head showed increased density of the soft tissue in the left nasal cavity and the tumor infiltrated to nasal septum. The tumor mass removed by rhinotomy. Histopathological examination of the mass revealed adenocarcinoma. Four weeks after the surgery, the radiation therapy was performed twice a week for f weeks. 4 months after surgery, the dog had a recurrence in nasal cavity and administered carboplatin 300 mg/$m^2$ twice. However, the tumor had no response to chemotherapy, additional surgery and additional radiation therapy, and the dog was euthanized at the owner's request. At necropsy, metastatic proliferation was confirmed in the lung, lymph nodes and nasal cavity.

개 원발성 비강내 전염성 성병성 종양 예 (Primary Transmissible Venereal Tumor in the Nasal Cavity of a Dog)

  • 최을수;김민규;윤화영;이창우
    • 한국임상수의학회지
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    • 제19권3호
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    • pp.360-362
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    • 2002
  • A 9-year-old male Maltese with foamy nasal discharge, respiratory distress, and sneezing followed by epistaxis was presented to the Veterinary Medical Teaching Hospital of Seoul National University. Radiography showed no significant findings from an open mouth view. Rhinoscopy also did not find any remarkable lesions in the nasal cavity. But when vigorously swabbing the nasal cavity, numerous cells having round nuclei, coarse reticular chromatin, one large nucleolus and distinct cytoplasmic vacuoles, which is typical for canine transmissible venereal tumor cells were collected. We thoroughly searched for any primary transmissible venereal tumor at the other areas of the body other than the nasal cavity, but found none. The patient responded well to vincristine, and the clinical signs resolved with no respiratory distress, sneezing or epistaxis.

PubMed를 통해 살펴 본 알레르기 비염에 대한 보완 의학적 최신 연구 경향 (Study of Complementary Medical Therapy for Allergic Rhinitis in PubMed)

  • 정혜미;조민정;서운교
    • 대한한방내과학회지
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    • 제30권3호
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    • pp.534-549
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    • 2009
  • Objectives : To study trends in complementary medical therapy for the allergic rhinitis. This study analyzed research on allergic rhinitis in PubMed. Methods : We searched PubMed related to complementary medical therapy for allergic rhinitis. We analyzed 25 research papers and examined published journals, years countries, and their methods, objectives, results, interventions, participants, periods and instruments of assessment. Results : The method of studies was mostly randomized, double-blind, placebo-controlled trial. There were research papers concerning treatment and prevention with herbal medicine, acupuncture, diet, etc. There were more positive results compared to negative results for treatment and prevention. Most studies were carried out during the winter/spring period. The median for number of participants was 90.54 persons. Diagnostic criteria for enrolment were nasal symptoms, allergic skin test, serum, nasal discharge allergen specific IgE eosinophil, etc. Assessment for outcomes were nasal symptoms, serum, nasal discharge allergen specific IgE eosinophil and Quality of Life Questionnaire. Conclusions : It is necessary to study effects of acupuncture and herb medicines for allergic rhinitis and more in-depth research about trends in complementary medical therapy for allergic rhinitis.

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코리안 쇼트헤어 고양이에서 발생한 크립토코쿠스 감염증 의심 1증례 (A Case of Nasal Cryptococcosis in a Domestic Shorthair Cat)

  • 이진수;김현욱;최을수
    • 한국임상수의학회지
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    • 제30권2호
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    • pp.115-118
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    • 2013
  • 8세 중성화 암컷 고양이가 만성 비강 삼출과 호흡곤란으로 내원하였다. 신체검사에서 오른쪽 비강의 출혈농성 삼출이 관찰되었고, 흡기성 호흡곤란과 코골기 증상, 종대된 오른쪽 하악 림프절이 확인되었다. 전혈검사와 혈청화학 검사에서 미약하게 증가한 헤마토크리트 값과 고글로불린혈증이 나타났으며, 혈청학적 및 PCR 기법을 이용한FeLV, FIV, Chlamydophila felis, Feline Calicivirus, Herpesvirus, Bordetella, Mycoplasma felis, H1N1 influenza 검사에서는 모두 음성이었다. 방사선 검사에서는 오른쪽 비강의 연조직 밀도 상승이 관찰되었고, CT촬영에서는 비중격의 위축과 골 용해가 확인되었다. 추가 검사로 실시한 하악 림프절 세포학 검사에서는 다양한 두께의 염색이 안 되는 협막을 갖는 곰팡이가 관찰되었으며, narrow based budding을 보이는 곰팡이도 관찰되어 크립토코쿠스 감염증으로 잠정진단하였다. 혈청학적 검사에서 크립토코쿠스 항원가는 1 : 32,768로 매우 높게 나왔다. 검사결과에 기초해서 곰팡이 감염 치료를 위해 fluconazole, clindamycin, tocopherol투여를 실시했으며 약물 투여 후 3일 이내에 환자의 증상은 극적으로 개선되었다. 장기적인 관찰과 추가 항원역가 검사를 실시하고자 하였으나 환자는 증상 개선 후 퇴원하여 재 내원하지 않았다.

The Usefulness of Nasal Packing with Vaseline Gauze and Airway Silicone Splint after Closed Reduction of Nasal Bone Fracture

  • Kim, Hyo Young;Kim, Sin Rak;Park, Jin Hyung;Han, Yea Sik
    • Archives of Plastic Surgery
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    • 제39권6호
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    • pp.612-617
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    • 2012
  • Background Packing after closed reduction of a nasal bone fracture causes inconvenient nasal obstruction in patients. We packed the superior meatus with Vaseline gauze to support the nasal bone, and packed the middle nasal meatus with a Doyle Combo Splint consisting of an airway tube, a silastic sheet, and an expandable sponge to reduce the inconvenience. In addition, we aimed to objectively identify whether this method not only enables nasal respiration but also sufficiently supports the reduced nasal bone. Methods Nasal ventilation was measured via spirometry 1 day before surgery and compared to 1 day after surgery. To compare support of the reduced nasal bone by the 2 methods, 2 plastic surgeons assessed the displacementon X-rays taken after the surgery and after removing the packing. The extent of nasal obstruction, dry mouth, sleep disturbance, headache, and swallowing difficulty were compared with visual analog scales (VAS) on a pre-discharge survey. Results In the experimental group, the nasal respiration volume 1 day after surgery remained at $71.3%{\pm}6.84%$ on average compared to 1 day prior to surgery. Support of the reduced bone in the experimental group ($2.80{\pm}0.4$) was not significantly different from the control group ($2.88{\pm}0.33$). The VAS scores for all survey items were lower in the experimental group than in the control group, where a lower score indicated a lower level of inconvenience. Conclusions The nasal cavity packing described here maintained objective measures of nasal respiration and supported the reduced bone similar to conventional methods. Maintaining nasal respiration reduced the inconvenience to patients, which demonstrates that this packing method is useful.

개의 비강 편평상피세포종의 컴퓨터단층촬영상의 특징 (Computed Tomographic Characteristics Of Nasal Squamous Cell Carcinoma In a Dog)

  • 권정국;송경진;이기창;이희천;최민철
    • 한국임상수의학회지
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    • 제20권3호
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    • pp.399-402
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    • 2003
  • A female unknown aged Yorkshire terrier, weighing 3.5 kg with nasal discharge, left facial swelling and severe inflammation was referred to Veterinary Medical Teaching Hospital, Seoul National University. Radiographic findings were lytic change and soft tissue swelling of left zygomatic process and increased radiopacity of nasal cavity. In computed tomography, turbinate bone destruction was observed as well as lytic change of left zygomatic process and left maxilla indicating aggressive lesion. Then 3-dimensional reconstruction was also performed. Biopsy of tissue mass revealed it as squamous cell carcinoma. For this patient, euthanasia was performed guarded prognosis. Generally, tumors of the nasal cavity in dogs account for approximately 1 % to 2% of all neoplasms. The prevalence of these tumors increased with age and exposure to the ultraviolet. About two thirds of all nasal tumors are malignant tumors such as squamous cell carcinoma and adenocarcinoma. As these tumors of nasal cavity are locally invasive, and external beam radiotherapy is the current treatment of choice. Unfortunately, diagnosis of these tumors often occurs late in the course of disease, resulting in a poor prognosis for outcome in many patients. It is considered that computed tomography could be used as an aid modality for the exact evaluation of extend and degree of bone lysis of nasal cavity and metastasis.

신이청폐음(辛荑淸肺飮)이 알레르기 비염 동물 모델에 미치는 영향 (The Effects of Sinichengpae-um in Allergic Rhinitis Model Rats)

  • 김언호;김경준
    • 한방안이비인후피부과학회지
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    • 제19권3호통권31호
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    • pp.60-67
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    • 2006
  • Objective : Allergic rhinitis is an allergic reaction characterized by sneezing, coughing, itchy nose, mouth and throat, congestion and/or nasal discharge. We aim to observe effect of Sinichengpae-um on protective effects of nasal mucosal tissue in th allergic rhinitis. Method : For this purpose, we oberserved number of leukocyte and erythrocyte in blood, ratio of neutrophil and lymphocyte in leukocyte, activity of GOT and GPT, and histopathologic change of nasal mucose. Result and Conclusion : Sinicheogpae-um showed effects on immune reaction with no harms liver. And in histopathologic change of nasal mucosal tissue, Sinichengpae-um showed significant protective effet against allergic rhinitis.

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